Individual
AISHA CARRASQUILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
516 FLAT ROCK TRCE, PORT WENTWORTH, GA 31407-3396
(786) 329-0543
Mailing address
516 FLAT ROCK TRCE, PORT WENTWORTH, GA 31407-3396
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
52981
SC
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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